经尿道输尿管软镜激光碎石术联合负压吸引鞘与经皮肾镜激光碎石术治疗上段输尿管结石的疗效对比  

Comparison of Therapeutic Effects Between Transurethral Ureteroscopic Laser Lithotripsy Combined with Negative Pressure Suction Sheath and Percutaneous Nephrolithotripsy for Upper Ureteral Stones

作　　者：姜晓晓 孙宁川 王维 JIANG Xiaoxiao;SUN Ningchuan;WANG Wei(Urology Department,Yancheng First Hospital Affiliated to Nanjing University Medicine College(Yancheng First People's Hospital),Yancheng 224000,Jiangsu,China)

机构地区：[1]南京大学医学院附属盐城第一医院(盐城市第一人民医院)泌尿外科,江苏盐城224000

出　　处：《系统医学》2024年第16期101-104,共4页Systems Medicine

摘　　要：目的 比较经尿道输尿管软镜激光碎石术联合负压吸引鞘与经皮肾镜激光碎石术治疗上段输尿管结石的效果。方法 非随机选取2022年1月—2023年12月盐城市第一人民医院收治的上段输尿管结石患者178例为研究对象,按不同的治疗方法分为两组,每组89例。对照组采取经皮肾镜激光碎石术治疗,观察组采取经尿道输尿管软镜激光碎石术联合负压吸引鞘治疗。对比两组患者手术相关指标、结石清除率及术后并发症发生率。结果 观察组术中出血量低于对照组,住院时间短于对照组,差异有统计学意义(P均<0.05)。观察组结石清除率为95.51%(85/89),高于对照组的78.65%(70/89),差异有统计学意义(χ^(2)=11.234,P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 相较经皮肾镜激光碎石术,临床治疗上段输尿管结石疾病采取经尿道输尿管软镜激光碎石术联合负压吸引鞘方式的效果更佳,结石清除率更高,术后患者恢复更快,且并发症少。Objective To compare the effect of transurethral flexible ureteroscopic laser lithotripsy combined with negative pressure suction sheath and percutaneous nephrolithotomy laser lithotripsy in the treatment of upper ureteral calculi.Methods One hundred and seventy-eight cases of patients with upper ureteral stones admitted to the First People's Hospital of Yancheng City from January 2022 to December 2023 were non-randomly selected as study subjects.They were divided into two groups according to different treatment methods,with eighty-nine cases in each group.The control group was treated with percutaneous nephrolithotomy laser lithotripsy,and the observation group was treated with transurethral ureteral flexible mirror laser lithotripsy combined with negative pressure suction sheath.Compared the surgery-related indexes,stone removal rate and the incidence of postoperative complications between the two groups.Results The intraoperative bleeding in the observation group was lower than that in the control group,and the hospitalization time was shorter than that in the control group,and the differences were statistically significant(both P<0.05).The stone removal rate of the observation group was 95.51%(85/89),which was higher than 78.65%(70/89) of the control group,and the difference was statistically significant(χ^(2)=11.234,P<0.05).The complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with percutaneous nephrolithotomy laser lithotripsy,transurethral flexible ureteroscopic laser lithotripsy combined with negative pressure suction sheath is more effective in the clinical treatment of upper ureteral calculi,with higher stone clearance rate,faster postoperative recovery and fewer complications.

关 键 词：经尿道输尿管软镜激光碎石术 负压吸引鞘 经皮肾镜激光碎石术 上段输尿管结石 

分 类 号：R699[医药卫生—泌尿科学]